Adult Health III Final Exam correct Answers 2023.

The nurse is caring for a patient who has septic shock. Which assessment finding is most important for the nurse to report to the health care provider? a. skin cool and clammy b. heart rate of 118 beats/min c. blood pressure of 92/56 d. O2 saturation of 93% on room air - **Answer: a Which assessment finding by the nurse caring for a patient receiving mechanical ventilation indicates the need for suctioning? a. the patient's respiratory rate is 32 breaths/min b. the patient has occasional audible expiratory wheezes c. the patient's oxygen saturation drops to 93% d. the patient was last suctioned 6 hours ago - **Answer: a The nurse in the emergency department is caring for a client with a history of smoking who is obese and admitted with epigastric pain. The client is diagnosed with abdominal aortic aneurysm after having an X-ray. During assessment the nurse notes ecchymosis to the client's back side. Which of the following actions would be priority for the nurse to take? a. prepare the client for a blood transfusion b. obtain informed consent for emergency surgery c. obtain the client's blood pressure d. assess the client's lung sounds - **Answer: b